Colaco, Shanthi Marie
Colaco, Shanthi Marie is an sole proprietor health care provider with primary practice located at 2990 S Sepulveda Blvd Suite 300, Los Angeles CA 90064-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Colaco, Shanthi Marie can be contacted via phone (323) 421-4747.Contact Information
Primary practice address
2990 S Sepulveda Blvd Suite 300
Los Angeles CA 90064-0002
Phone: (323) 421-4747
Fax: (949) 955-7351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A123314 | California |
Profile Details
| NPI number | 1144482167 |
|---|---|
| LBN Legal business name | Colaco, Shanthi Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2008 |
| Last updated | May 18th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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